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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVOUD MOHTAT, M.D.

Active

DAVOUD MOHTAT, M.D. is a Pediatric Nephrology healthcare provider located in FAIRFAX, Virginia. NPI 1639483373 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nephrology · FAIRFAX, VA

Registration Details

NPI Number
1639483373
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2010 (15.836166937712 yrs)
Last Updated
Nov 27, 2023
Licenses
048941 (CT)
0101253093 (VA)

Practice Information

Address
3023 HAMAKER CT
SUITE 600
FAIRFAX, VA, 220312207
Browse VA providers · Browse ZIP 22031
Phone
7038762788
Primary Specialty
Pediatric Nephrology
2080P0210X
Additional Specialty
Pediatric Nephrology

Other Pediatric Nephrology Providers in FAIRFAX, VA

Name Credential NPI
LYNNE PEI-LAN YAO MD 1114962743
RANDALA R LAKKIS M.D. 1235226663
RASHEDA Z AMIN M.D. 1326276981
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.